Mervin Lee Ellstrom, DDS
Dentist · Moreno Valley, CA
Mervin Lee Ellstrom, DDS is a dentist with a practice address in Moreno Valley, California, and NPI 1083052138, issued on Jun 11, 2013. Check the license (California 024928, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mervin Lee Ellstrom
- Credential
- DDS
- Primary taxonomy
- Dentist 122300000X
- License number
- 024928 CA
Self-reported in NPPES; status is on the state search - Practice location
- 12900 Perris Blvd, Moreno Valley, CA 92553
- Phone
- (951) 242-3431
- Enumerated
- Jun 11, 2013
- Record last updated
- Jun 11, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (951) 242-7570
- Entity
- Type 1 · individual
Also registered at 12900 Perris Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- David Castillo, D.D.SDentist1972866176
- Kenneth Harrison, D.D.SOrthodontics and Dentofacial Orthopedics Dentistry1104915537
- Mohamed Hassan, D.D.S, M.SPeriodontics1548365067
Verify Mervin Lee Ellstrom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 024928Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
39 dentist records list a practice address in Moreno Valley
They are 39 of the 2,698 NPPES records with a practice address in Moreno Valley, and 14,729 dentist records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 39 in Moreno Valley → All 14,729 in California → Every provider in Moreno Valley →
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Common questions
What is Mervin Lee Ellstrom, DDS's NPI number?
Mervin Lee Ellstrom, DDS's National Provider Identifier (NPI) is 1083052138, issued on Jun 11, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Mervin Lee Ellstrom, DDS located?
The NPPES record lists a practice address at 12900 Perris Blvd, Moreno Valley, CA, 92553. Phone: (951) 242-3431. Providers update this record themselves, so call before visiting.
How can I verify Mervin Lee Ellstrom, DDS's license?
NPPES lists California license number 024928, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.